Effect of multidisciplinary nursing care on acute exacerbation and pulmonary function improvement in patients with chronic obstructive pulmonary disease
10.3760/cma.j.issn.1672-7088.2018.13.004
- VernacularTitle:多学科合作护理模式对慢性阻塞性肺疾病患者急性加重次数及肺功能改善效果观察
- Author:
Rong YANG
1
;
Yuxing CAI
;
Wei LI
;
Yamei GUO
;
Mei LU
;
Min LYU
Author Information
1. 721008,陕西省宝鸡市中心医院呼吸内科
- Keywords:
Pulmonary disease;
chronic obstructive;
Main characteristics;
Pathogenesis;
Oxygen therapy;
Multidisciplinary nursing
- From:
Chinese Journal of Practical Nursing
2018;34(13):975-979
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of multidisciplinary rehabilitation nursing on the number of acute exacerbation, quality of life and pulmonary function in patients with chronic obstructive pulmonary disease (COPD). Methods A total of 1088 cases of COPD patients admitted to department of respiratory medicine from February 2015 to July 2016 were divided into the study group and the control group by random digits table method, 544 cases in each group. The control group was given COPD related health education and routine care. The study group was given comprehensive rehabilitation of multidisciplinary lung care. After 1 years, the mental status, dyspnea grade improvement, acute exacerbation and 6 min walk test distance (6MWD) were compared between the two groups. Results One year after intervention, 6MWD and the times of acute exacerbation in the study group were (450.32 ± 67.21)m and (0.37 ± 0.28) times, and (394.12 ± 63.17)m and (2.08 ± 1.65) times in the control group, the study group was better than the control group (t=2.064, 2.029, P<0.05). One year after intervention, the scores of mental state, function, symptom were 1.76 ± 1.02, 1.69 ± 1.01, 1.61 ± 0.79 in the study group respectively, and 2.10 ± 1.08, 2.08 ± 2.03, 1.79 ± 0.80 in the control group,the difference was statistically significant (t=2.051, 2.017, 2.103, P<0.05). Conclusions After comprehensive nursing intervention of multidisciplinary rehabilitation, COPD patients can not only have obvious improvement in lung function, but also reduce the frequency of acute exacerbation of COPD.
